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For patients with traumatic anterior shoulder instability and an isolated Bankart lesion, the choice between open and arthroscopic repair has evolved considerably. In this prospective randomized study, 60 patients were assigned to arthroscopic or open Bankart repair using suture anchors and followed for two years. Neither group experienced recurrent dislocation during follow-up, and the major functional scores were broadly comparable. The arthroscopic group had better range-of-motion results on the Constant scale. The study supports arthroscopic stabilization as an effective approach for appropriately selected isolated Bankart lesions and challenges the idea that an open procedure is automatically more stable. The important caveat is that the study involved a relatively small and selected population; patients with substantial glenoid bone loss or complex instability may require different strategies. For HCPs, the message is that minimally invasive stabilization can achieve reliable outcomes when the pathology is suitable and the technique is performed well. Preoperative assessment of bone loss and associated lesions remains essential, and rehabilitation is a key determinant of recovery.
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For patients with traumatic anterior shoulder instability and an isolated Bankart lesion, the choice between open and arthroscopic repair has evolved considerably. In this prospective randomized study, 60 patients were assigned to arthroscopic or open Bankart repair using suture anchors and followed for two years. Neither group experienced recurrent dislocation during follow-up, and the major functional scores were broadly comparable. The arthroscopic group had better range-of-motion results on the Constant scale. The study supports arthroscopic stabilization as an effective approach for appropriately selected isolated Bankart lesions and challenges the idea that an open procedure is automatically more stable. The important caveat is that the study involved a relatively small and selected population; patients with substantial glenoid bone loss or complex instability may require different strategies. For HCPs, the message is that minimally invasive stabilization can achieve reliable outcomes when the pathology is suitable and the technique is performed well. Preoperative assessment of bone loss and associated lesions remains essential, and rehabilitation is a key determinant of recovery.
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